Healthcare Provider Details

I. General information

NPI: 1598047110
Provider Name (Legal Business Name): DR. SUNAINA JHURANI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SUNAINA NANCHAHAL

II. Dates (important events)

Enumeration Date: 09/10/2011
Last Update Date: 02/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

790 CHURCH ST NE STE 250
MARIETTA GA
30060-8902
US

IV. Provider business mailing address

4500 N SHALLOWFORD RD
ATLANTA GA
30338-6476
US

V. Phone/Fax

Practice location:
  • Phone: 678-797-8201
  • Fax: 404-588-2655
Mailing address:
  • Phone: 404-778-6920
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number7217
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: